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ASCO 2025 | Clinical applications of findings from the DANTE trial in melanoma

Sarah Danson, PhD, FRCP, MSc, MBBS, University of Sheffield, Sheffield, UK, comments on the potential for reducing the duration of immunotherapy treatment in various countries. Due to the different healthcare systems and patient payment models that exist, there needs to be a nuanced approach. Ongoing research, including the STOP-GAP trial (NCT02821013) will also further assess immunotherapy in this setting. This interview took place during the 2025 American Society of Clinical Oncology (ASCO) Meeting in Chicago, IL.

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Transcript

So I think they’ll be interpreted differently in different countries. You know, so for example, in the UK, at the moment, for us to give the immunotherapy, we have to say we’re going to give it for two years. So now the conversation that we need to have with our commissioners is whether we could actually stop it after a year and then restart again. Whereas in other systems where the patient is paying for the immunotherapy, that may be a very different conversation, you know, with their clinical team saying, okay, we can stop now after one year without too many problems...

So I think they’ll be interpreted differently in different countries. You know, so for example, in the UK, at the moment, for us to give the immunotherapy, we have to say we’re going to give it for two years. So now the conversation that we need to have with our commissioners is whether we could actually stop it after a year and then restart again. Whereas in other systems where the patient is paying for the immunotherapy, that may be a very different conversation, you know, with their clinical team saying, okay, we can stop now after one year without too many problems. So I think every country will take this information differently. They’ll also look at other data that are coming through. So there’s a Canadian study called the STOP-GAP Study that we’ll eventually read out that’s treating until best response and stopping then and seeing if you then need to restart again. So I think that will be put into the mix, too. And we’re talking to the STOP-GAP team about how we can analyze our data together. And there’s other trials going on in other tumor types as well. And there’s other strategies. So not just reducing the duration of treatment, but also maybe the dose of treatments. There was some really interesting data presented at ASCO about giving low-dose immunotherapy in an Indian study called the SARI study. So I think all of those things need to be looked at together and then guidelines produced according to that. But I think it’s created a lot of interest. And what I’m, of course, also doing is talking to the drug companies about how we can take that forward, you know, because duration questions aren’t going to go away. So we need to carry on doing research in this area.

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Disclosures

Consulting or Advisory Role – Orion; Oxcia
Research Funding – Amgen – Local PI; Artios (Inst); AstraZeneca/UK (Inst); Carrick Therapeutics (Inst); Janssen Oncology (Inst); MSD Oncology; Nanoco (Inst); Novocure (Inst); Orion; Orion (Inst); Roche (Inst); Scancell (Inst)
Travel, Accommodations, Expenses – MSD Oncology